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10.1111/hpb.12347 http://scihub22266oqcxt.onion/10.1111/hpb.12347 C4333788!4333788!25387727     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       HPB+(Oxford) 2015 ; 17 (3): 258-64 Nephropedia Template TP {{tp|p=25387727|t=2015. Renal function after low central venous pressure-assisted liver resection: assessment of 2116 cases |pdf=|usr=}}{{25387727}} gab.com Text Renal function after low central venous pressure-assisted liver resection: assessment of 2116 cases JO: HPB (Oxford) http://www.kidney.de/pget.php?&tw=1&pmid=25387727 #FOAvip Objectives: Low central venous pressure (LCVP)-assisted hepatectomy is associated with decreased blood loss and lower transfusion rates. Concerns about its impact on renal function have prevented widespread application. This study was conducted to review the dynamics of renal function after LCVP-assisted hepatectomy. Methods: A retrospective analysis of a prospective surgical database was carried out. Estimated glomerular filtration rate (eGFR) was calculated using the Modification of Diet in Renal Disease (MDRD) equation. The RIFLE (risk?injury?failure?loss?end-stage) criteria were used to define postoperative biochemical acute kidney injury (bAKI). Occurrences of clinically relevant AKI (cAKI) were identified in the study center postoperative database. Results: During the period 2003?2012, 2116 LCVP-assisted hepatectomies were performed. The median patient age was 61 years [interquartile range (IQR): 51?70 years] and 51% of patients were male. The median number of resected segments was two; resections involved from one to four segments. Median estimated blood loss was 300?ml (IQR: 200?600?ml). Rates of morbidity and 90-day mortality were 21% and 2%, respectively. Low baseline eGFR (<90?ml/min) was seen in 84% of patients; 29% of patients had eGFR of <30?ml/min. Postoperative bAKI was seen in 17% (n = 350) of patients. Biochemical AKI with low eGFR was seen in 336 patients, representing 16% of the whole cohort; 13% of patients had been at risk, 2% experienced injury and 1% experienced failure. Kidney function had normalized at discharge in 159 of these patients. Nine patients (<1%) developed postoperative cAKI. Conclusions: The majority of patients in the study cohort had low baseline eGFR. Biochemical alterations in eGFR are transient in the vast majority of patients after LCVP-assisted hepatectomy and their clinical impact is limited. The present data suggest that clinically relevant renal dysfunction is a very uncommon event in patients undergoing LCVP-assisted liver resection. Twit Text FOAVip Renal function after low central venous pressure-assisted liver resection: assessment of 2116 cases ????HPB (Oxford) http://www.kidney.de/pget.php?&tw=1&pmid=25387727 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25387727 #FOAvip English Wikipedia <ref>{{Cite pmid|25387727}}</ref> Renal function after low central venous pressure-assisted liver resection: assessment of 2116 cases #MMPMID25387727 Correa-Gallego C; Berman A; Denis SC; Langdon-Embry L; O'Connor D; Arslan-Carlon V; Kingham TP; D'Angelica MI; Allen PJ; Fong Y; DeMatteo RP; Jarnagin WR; Melendez J; Fischer M HPB (Oxford) 2015[Mar]; 17 (3): 258-64 PMID25387727show ga Objectives: Low central venous pressure (LCVP)-assisted hepatectomy is associated with decreased blood loss and lower transfusion rates. Concerns about its impact on renal function have prevented widespread application. This study was conducted to review the dynamics of renal function after LCVP-assisted hepatectomy. Methods: A retrospective analysis of a prospective surgical database was carried out. Estimated glomerular filtration rate (eGFR) was calculated using the Modification of Diet in Renal Disease (MDRD) equation. The RIFLE (risk?injury?failure?loss?end-stage) criteria were used to define postoperative biochemical acute kidney injury (bAKI). Occurrences of clinically relevant AKI (cAKI) were identified in the study center postoperative database. Results: During the period 2003?2012, 2116 LCVP-assisted hepatectomies were performed. The median patient age was 61 years [interquartile range (IQR): 51?70 years] and 51% of patients were male. The median number of resected segments was two; resections involved from one to four segments. Median estimated blood loss was 300?ml (IQR: 200?600?ml). Rates of morbidity and 90-day mortality were 21% and 2%, respectively. Low baseline eGFR (<90?ml/min) was seen in 84% of patients; 29% of patients had eGFR of <30?ml/min. Postoperative bAKI was seen in 17% (n = 350) of patients. Biochemical AKI with low eGFR was seen in 336 patients, representing 16% of the whole cohort; 13% of patients had been at risk, 2% experienced injury and 1% experienced failure. Kidney function had normalized at discharge in 159 of these patients. Nine patients (<1%) developed postoperative cAKI. Conclusions: The majority of patients in the study cohort had low baseline eGFR. Biochemical alterations in eGFR are transient in the vast majority of patients after LCVP-assisted hepatectomy and their clinical impact is limited. The present data suggest that clinically relevant renal dysfunction is a very uncommon event in patients undergoing LCVP-assisted liver resection. äRenal function after low central venous pressure-assisted liver resect(epmc).pdf DeepDyve Pubget Overpricing